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What Causes Severe Pain In The Scrotum?

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Posted on Sat, 18 Jul 2015
Twitter Sat, 18 Jul 2015 Answered on
Twitter Fri, 7 Aug 2015 Last reviewed on
Question : Hi there...My husband had a colonoscopy yesterday.
Now, he has terrible pain in his scrotum.
He's taken a couple of pain pills, but they don't seem to help.
Why would he have pain there and what do you think we should about it?
doctor
Answered by Dr. Panagiotis Zografakis (57 minutes later)
Brief Answer:
I'm afraid he needs to go to the ER again!

Detailed Answer:
Hello,

severe pain in the scrotum could be a sign of testicular torsion or inflammation (infection in various structures inside the scrotum), strangulated hernia and referred pain from a urinary tract obstruction.

Any of the aforementioned causes is an emergency situation and needs immediate assessment and treatment.

His history of radiation, prostate cancer and bowel obstruction make all causes possible, so I couldn't say which may be more likely.

Clinical examination, ultrasound of the scrotum and perhaps and abdominal CT scan are essential tests for the investigation. The choice of tests will depend on clinical examination data.

I hope you find my comments helpful!
You can contact me again, if you'd like any clarification or further information.

Best wishes for a speedy recovery!

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Panagiotis Zografakis

Internal Medicine Specialist

Practicing since :1999

Answered : 3815 Questions

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What Causes Severe Pain In The Scrotum?

Brief Answer: I'm afraid he needs to go to the ER again! Detailed Answer: Hello, severe pain in the scrotum could be a sign of testicular torsion or inflammation (infection in various structures inside the scrotum), strangulated hernia and referred pain from a urinary tract obstruction. Any of the aforementioned causes is an emergency situation and needs immediate assessment and treatment. His history of radiation, prostate cancer and bowel obstruction make all causes possible, so I couldn't say which may be more likely. Clinical examination, ultrasound of the scrotum and perhaps and abdominal CT scan are essential tests for the investigation. The choice of tests will depend on clinical examination data. I hope you find my comments helpful! You can contact me again, if you'd like any clarification or further information. Best wishes for a speedy recovery!